Hu T W, Rush A J
School of Public Health, University of California, Berkeley 94720, USA.
Soc Psychiatry Psychiatr Epidemiol. 1995 Aug;30(5):224-30. doi: 10.1007/BF00789058.
The purpose of this paper is to examine the treatment patterns and costs of treatment for depressive disorders in the private sector of the United States. Based on the 1987-1989 calendar year MEDSTAT claim data, 40,898 patients were identified with a principal diagnosis of depressive disorder. Among a list of CPT-4 code procedures, individual psychotherapy had the highest frequency of usage followed by individual visits. Compared to individual psychotherapy, group/family psychotherapy had a much lower frequency of usage. Very few diagnostic episodes had laboratory work. In inpatient settings, costs of physician procedures and laboratory services were 2 times greater for patients with major depression or bipolar disorder than for patients with depression not otherwise specified (NOS) or dysthymic disorder. As expected, costs varied widely per episode. As the severity of illness increased, the cost variation became wider.
本文的目的是研究美国私营部门中抑郁症的治疗模式和治疗成本。基于1987 - 1989历年的MEDSTAT索赔数据，确定了40,898名主要诊断为抑郁症的患者。在一系列CPT - 4编码程序中，个体心理治疗的使用频率最高，其次是个体就诊。与个体心理治疗相比，团体/家庭心理治疗的使用频率要低得多。很少有诊断发作涉及实验室检查。在住院环境中，重度抑郁症或双相情感障碍患者的医生诊疗程序和实验室服务成本是未另作说明的抑郁症（NOS）或心境恶劣障碍患者的2倍。正如预期的那样，每次发作的成本差异很大。随着疾病严重程度的增加，成本差异变得更大。
